Organization
ACTIVE MA, INC.
Active
Parent organization
ACTIVE DAY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACTIVE DAY, INC.
Authorized official
CRAIG O MEHNERT (COO)
(215) 642-6600
Entity
Organization
Contact information
Practice address
370 LIBBEY PKWY STE 800, WEYMOUTH, MA 02189-3179
(781) 749-1310
(781) 749-1360
Mailing address
6 NESHAMINY INTERPLEX, SUITE 401, TREVOSE, PA 19053-6964
(215) 642-6600
(215) 642-6610
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110032728E
—
MA
Enumeration date
03/03/2016
Last updated
01/25/2018
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